Punctal Plugs The entire in-office procedure is painless and usually takes only a few minutes. As strange as it sounds just picture a healthy eye as a full sink with tears (instead of water) reaching up to the rim. Dry eye syndrome (DES) occurs when your eyes fail to produce the necessary quality or quantity of tears to protect and preserve the ocular surface. In this case the sink would be pretty empty. Those with DES do not have a sufficient amount of tears to adequately bathe the eyes and therefore o...Read More